Active NPI
Knox Pittman, D.C.
- Chiropractor
- Spokane, WA
National Provider Identifier
1801824081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- L0615518
- Practice address
- 405 E Hartson Ave
Spokane, WA 99202-1343 - Phone
- (509) 456-0347
- Fax
- (509) 456-6898
- NPI assigned
- Jun 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | L0615518 | WA | Primary |
Addresses
Primary practice location
405 E Hartson Ave
Spokane, WA 99202-1343
Mailing address
405 E Hartson Ave
Spokane, WA 99202-1343
Phone (509) 456-0347
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911529152 | Other | WA | PREMERA |
| 2012698 | Medicaid | WA | |
| 911529152 | Other | WA | CIGNA HEALTHCARE |
| 911529152 | Other | WA | ASURIS NORTHWEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120127000650 | WA | Practitioner - Chiropractic | 5799942082 | Practice locations: Spokane, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
405 E Hartson Ave
Spokane, WA 99202-1343
Phone (509) 456-0347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0615518 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801824081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 E HARTSON AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021343",
"telephone_number": "509-456-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 E HARTSON AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021343",
"telephone_number": "509-456-0347",
"fax_number": "509-456-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "KNOX",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "L0615518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "911529152",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2012698",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "911529152",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NORTHWEST",
"identifier": "911529152",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.